Migraine (ReelDx)

Abortive: Triptans (do not use in ischemic heart disease), ergotamine (do not use in pregnant women)

Tension headache (ReelDx)

ReelDx™

Bilateral, non-throbbing, band-like or "vice like" pain

A tension-type headache is typically described as bilateral, mild to moderate, dull pain, whereas a migraine is typically pulsating; unilateral; and associated with nausea, vomiting, and photophobia or phonophobia.

Vascular Disorders (PEARLS)

Cerebral aneurysm

Intracranial hemorrhage (ReelDx)

ReelDx™

Epidural Hematoma: transient loss of consciousness from an injury, period of lucency, then neurologic deterioration. CT: lens-shaped, biconvex

Subdural Hematoma: elderly patient with a history of multiple falls who is now presenting with neurological symptom. May be chronic, taking days to weeks to develop symptoms. CT scan: Crescent shaped density in the brain